Department of Operative Techniques and Surgical Research, Institute of Surgery, Medical and Health Science Center, University of Debrecen, Hungary.
Clin Hemorheol Microcirc. 2012;50(3):197-211. doi: 10.3233/CH-2011-1427.
It is known that hemorheological parameters show gender differences that might be altered by gonadectomy (GoE). Since micro-rheological parameters (erythrocyte deformability and aggregation) sensitively change during and after ischemia-reperfusion (I/R), the question arises whether the hemorheological effects of I/R may show gender differences and further changes might be expected when GoE and I/R are additive. Sprague-Dawley rats were divided into six groups: Control males and females, I/R males and females with 1-hour hind limb ischemia, GoE + I//R males and females when 3 months after bilateral gonadectomy the I/R was induced. Before and just after ischemia, and on the 1st-3rd-5th-7th postoperative days blood samples were taken (lateral tail vein, 0.3-0.5 mL) for analyzing hematological parameters, erythrocyte's deformability (slit-flow ektacytometer) and aggregation (light-transmission aggregometer). Leukocyte and platelet counts raised markedly in gonadectomized animals during the investigated days. Hemorheological changes of I/R showed gender differences: significant impairment of erythrocyte deformability was found on the 1st-3rd postoperative days, expressed mostly in females. In gonadectomized females the postischemic deformability values were impaired. Erythrocyte aggregation index significantly raised by the 1st postoperative day, dominantly in males. It is suggested that gonadectomy may act as an additional rheological 'risk factor' related to blood micro-rheological parameters in ischemia-reperfusion.
已知血液流变学参数存在性别差异,而这种差异可能会因性腺切除术(GoE)而改变。由于微流变学参数(红细胞变形性和聚集性)在缺血再灌注(I/R)期间和之后会发生敏感变化,因此会出现这样一个问题,即 I/R 的血液流变学效应是否会表现出性别差异,并且当 GoE 和 I/R 相加时,是否会出现进一步的变化。将 Sprague-Dawley 大鼠分为六组:雄性和雌性对照组、雄性和雌性 I/R 组(1 小时后后肢缺血)、雄性和雌性 GoE+I/R 组(3 个月后双侧性腺切除术时诱导 I/R)。在缺血前和缺血后,以及术后第 1、3、5、7 天,从尾静脉(0.3-0.5 毫升)取血样,分析血液学参数、红细胞变形性(狭缝流 ektacytometer)和聚集性(透光率聚集仪)。在研究期间,去势动物的白细胞和血小板计数明显升高。I/R 的血液流变学变化存在性别差异:第 1-3 天术后红细胞变形性显著受损,主要见于雌性。在去势的雌性中,缺血后的变形性值受损。红细胞聚集指数在术后第 1 天显著升高,主要见于雄性。这表明性腺切除术可能是与缺血再灌注后血液微流变学参数相关的另一个流变学“风险因素”。